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Organization
EAST EL PASO FAMILY MEDICINE PA
Active
Organization
EAST EL PASO FAMILY MEDICINE PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BENJAMIN J. LEYVA D.C. (PRESIDENT)
(915) 228-4915
Entity
Organization
Contact information
Practice address
1393 GEORGE DIETER DR STE D, EL PASO, TX 79936-7410
(915) 228-4915
Mailing address
4849 N MESA ST STE 201, EL PASO, TX 79912-5919
(915) 351-6600
(915) 351-6601
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
02/14/2018
Last updated
03/19/2018
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